Busca avançada
Ano de início
Entree
(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

Xenogenous Collagen Matrix and/or Enamel Matrix Derivative for Treatment of Localized Gingival Recessions: A Randomized Clinical Trial. Part II: Patient-Reported Outcomes

Texto completo
Autor(es):
dos Santos, Manuela Rocha [1] ; Menck Sangiorgio, Joao Paulo [1] ; da Silva Neves, Felipe Lucas [2] ; Franca-Grohmann, Isabela Lima [1] ; Nociti, Jr., Francisco Humberto [1] ; Silverio Ruiz, Karina Gonzales [1] ; Santamaria, Mauro Pedrine [2] ; Sallum, Enilson Antonio [1]
Número total de Autores: 8
Afiliação do(s) autor(es):
[1] Univ Estadual Campinas, Piracicaba Dent Sch, Div Periodont, Dept Prosthesis & Periodontol, Campinas, SP - Brazil
[2] State Univ, Div Periodont, Dept Diag & Surg, Sao Paulo Campus, Sao Jose Dos Campos - Brazil
Número total de Afiliações: 2
Tipo de documento: Artigo Científico
Fonte: Journal of Periodontology; v. 88, n. 12, p. 1319-1328, DEC 2017.
Citações Web of Science: 6
Resumo

Background: Gingival recession (GR) might be associated with patient discomfort due to cervical dentin hypersensitivity (CDH) and esthetic dissatisfaction. The aim is to evaluate the effect of root coverage procedure with a xenogenous collagen matrix (CM) and/or enamel matrix derivative (EMD) in combination with a coronally advanced flap (CAF) on CDH, esthetics, and oral health-related quality of life (OHRQoL) of patients with GR. Methods: Sixty-eight participants with single Miller Class I/II GRs were treated with CAF (n = 17), CAF + CM (n = 17), CAF + EMD (n = 17), and CAF + CM + EMD (n = 17). CDH was assessed by evaporative stimuli using a visual analog scale (VAS) and a Schiff scale. Esthetics outcome was assessed with VAS and the Questionnaire of Oral Esthetic Satisfaction. Oral Health Impact Profile-14 (OHIP-14) questionnaire was used to assess OHRQoL. All parameters were evaluated at baseline and after 6 months. Results: Intragroup analysis showed statistically significant reduction in CDH and esthetic dissatisfaction with no intergroup significant differences (P>0.05). The impact of oral health on QoL after 6 months was significant for CAF + CM, CAF + EMD, and CAF + CM + EMD (P<0.05). Total OHIP-14 score and psychologic discomfort, psychologic disability, social disability, and handicap dimensions showed negative correlation with esthetics. OHIP-14 physical pain dimension had positive correlation with CDH (P<0,05). OHIP-14 showed no correlation with percentage of root coverage, keratinized tissue width, or keratinized tissue thickness (P>0.05). Conclusion: Root coverage procedures improve patient OHRQoL by impacting on a wide range of dimensions, perceived after reduction of CDH and esthetic dissatisfaction of patients with GRs treated with CAF + CM, CAF + EMD, and CAF + CM + EMD. (AU)

Processo FAPESP: 13/19473-6 - Enxerto de matriz xenógena de colágeno associada ou não às proteínas derivadas da matriz do esmalte no tratamento de recessões gengivais classe I e II de Miller
Beneficiário:Enilson Antonio Sallum
Linha de fomento: Auxílio à Pesquisa - Regular